Community Care of West Virginia, Inc.
NPI 1811366248 · Federally Qualified Health Center (FQHC) · Buckhannon, WV
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1811366248
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dora Potasnik, Credentialing(304) 317-7275
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Tennerton Elementary School Wellness Center
Additional practice locations (1)
- 501 Bomont RdBomont, WV 25030-9666Phone: (304) 548-7101Fax: (304) 924-5460
Registry dates
- Enumerated
- 2015-09-16
- Last updated
- 2024-09-06
- Certified
- 2024-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.